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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40951/psn-pdf
    December 21, 2014 - Quality and safety in medical care: what does the future hold? December 21, 2014 Liang BA, Mackey T. Quality and safety in medical care: what does the future hold? Arch Pathol Lab Med. 2011;135(11):1425-31. doi:10.5858/arpa.2011-0154-OA. https://psnet.ahrq.gov/issue/quality-and-safety-medical-care-what-does-future…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43216/psn-pdf
    June 25, 2014 - Banning the handshake from the health care setting. June 25, 2014 Sklansky M, Nadkarni N, Ramirez-Avila L. Banning the handshake from the health care setting. JAMA. 2014;311(24):2477-8. https://psnet.ahrq.gov/issue/banning-handshake-health-care-setting Hand hygiene is an important practice that prevents transmissi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36810/psn-pdf
    November 19, 2014 - A Systems Approach to Quality Improvement in Long- Term Care: Safe Medication Practices Workbook. November 19, 2014 Massachusetts Coalition for the Prevention of Medical Errors, MassPRO, Massachusetts Extended Care Foundation. Boston, MA: Commonwealth of Massachusetts; 2008. https://psnet.ahrq.gov/issue/systems-ap…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45226/psn-pdf
    January 04, 2017 - AHRQ Research Summit on Improving Diagnosis in Health Care. January 4, 2017 Rockville, MD; Agency for Healthcare Research and Quality: September 28, 2016. https://psnet.ahrq.gov/issue/ahrq-research-summit-improving-diagnosis-health-care Research is increasingly focusing on diagnostic errors and strategies to reduc…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50667/psn-pdf
    November 13, 2019 - Proactive prevention of maternal death from maternal hemorrhage. November 13, 2019 Quick Safety. October 29, 2019;(51):1-3. https://psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage The reduction of postpartum hemorrhage and the overall improvement of maternal safety is a patient safety …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39585/psn-pdf
    June 09, 2010 - Bar code technology and medication administration error. June 9, 2010 Young J, Slebodnik M, Sands L. Bar Code Technology and Medication Administration Error. J Patient Saf. 2010;6(2):115-120. doi:10.1097/pts.0b013e3181de35f7. https://psnet.ahrq.gov/issue/bar-code-technology-and-medication-administration-error This…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61002/psn-pdf
    September 17, 2020 - Patient Safety September 17, 2020 Organisation for Economic Co-operation and Development. https://psnet.ahrq.gov/issue/patient-safety-21 Organizations worldwide are focusing efforts on reducing the conditions that contribute to medical error. This website provides a collection of reports and other resources that c…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74766/psn-pdf
    June 24, 2024 - Patient handoffs. June 24, 2024 Arora V, Farnan J. UpToDate. June 24, 2024. https://psnet.ahrq.gov/issue/patient-handoffs-0 The change of an inpatient’s location or handoffs between teams can fragment care due to communication, information, and knowledge gaps. This review examines in-patient transition safety issu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48026/psn-pdf
    July 10, 2019 - Network of Patient Safety Databases. July 10, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/network-patient-safety-databases The Patient Safety Organization (PSO) program seeks to gather and analyze nonidentifiable patient safety incident data to track concerns and reduce risks. Thi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47348/psn-pdf
    September 05, 2018 - Hospital-Acquired Condition Reduction Program (HACRP). September 5, 2018 QualityNet. Centers for Medicare and Medicaid Services. https://psnet.ahrq.gov/issue/hospital-acquired-condition-hac-reduction-program Eliminating hospital-acquired harm requires policy, organizational, and individual approaches to motivate …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39344/psn-pdf
    March 03, 2010 - Mistake-proofing healthcare: why stopping processes may be a good start. March 3, 2010 Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007. https://psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopp…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45932/psn-pdf
    May 18, 2017 - Polypharmacy. May 18, 2017 Zagaria MAE, ed. Clin Geriatr Med. 2017;33:153-292. https://psnet.ahrq.gov/issue/polypharmacy Older patients are likely to be prescribed multiple medications, which can increase risks. Articles in this special issue explore polypharmacy in a variety of care settings and provide tactics f…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50771/psn-pdf
    May 29, 2024 - AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. May 29, 2024 Brach C, ed. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Publication No. 15-0023-EF. https://psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition The AHRQ Health Literacy Un…
  14. digital.ahrq.gov/organization/upper-peninsula-health-care-network
    January 01, 2023 - Upper Peninsula Health Care Network Critical Access Hospital Partnership Health Information Technology Implementation - 2009 Principal Investigator Wheeler, Donald Project Name Critical Access Hospital Partnership Health Information Technology Implementation …
  15. www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
    December 01, 2017 - choices, and communicate more effectively with providers, that open communication promotes efficiency, reduces
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
    June 02, 2025 - choices, and communicate more effectively with providers, that open communication promotes efficiency, reduces
  17. psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
    February 01, 2012 - Febrile Neutropenia and an Almost Fatal Medication Error Citation Text: Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: …
  18. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdf
    July 02, 2020 - 1 Learning Community Affinity Group Summary-at-a-Glance: Operational Adjustments while Resuming In-Person Cardiac Rehabilitation Programs July 2, 2020 Event Purpose and Overview • Purpose: To share and acquire strategies for how to adjust operations while resuming in-person cardiac rehabilitation p…
  19. www.ahrq.gov/ncepcr/reports/2025-annual-report/health-disparities.html
    August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024 Health Disparities Previous Page Next Page Table of Contents AHRQ’s Investments in Primary Care Research for 2023 and 2024 Acknowledgements and Authors Message from the Director of AHRQ’s National Center for Excellence in Primary Ca…
  20. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-6.html
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science References Previous Page   Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: Stat…